ACLS Instructor Course Evaluation

ACLS Instructor Course Evaluation Form

Please take a moment to offer feedback on your ACLS Instructor course experience.

Course Date *

The central goal of your ACLS Instructor course is to help prepare you to successfully deliver these courses within the standards set by the Heart and Stroke Foundation – HOW ABLE ARE YOU to put what you’ve learned into practice?

1. I’m not at all able to put the concepts into practice. Nope. Nada.

2. I have a general awareness of the key components of the ACLS course, the standards of the Heart and Stroke Foundation and the student goal of successful resuscitation in practice but I will need more training / practice / guidance / experience to successfully master course facilitation.

3. I have mastered the key components of the ACLS course, the standards of the Heart and Stroke Foundation and I expect to facilitate a student experience that will likely lead to successful resuscitation in practice. I believe I can contribute new insights and/or practice innovations in this field.

	Six Second ECG Intensive	Six Second ECG Mastery	12 Lead ECG & ACS	12 Lead Advanced
Prerequisite	None	None	Any Six Second ECG Course	12 Lead ECG & ACS
Time Frame	8 hours (1-day Course or 2 evenings)	20 hours 3-day Course	8 hours 1-day Course	8 hours 1-day Course
Tuition	$275	$675	$275	$275
Completion Card	•	•	•	•
Exam and Certification		•
SkillStat 2U-able	•	•	•	•
Reference materials included	•	•	•	•
Dynamic ECG rhythm interpretation	•	•	○	○
Static ECG rhythm interpretation	•	•	○	○
Clinical Impact Mapping	•	•	•	○
Acute Coronary Syndromes Overview		•	•	○
Acute Coronary Syndromes In-Depth			•	○
ST Segment & T Wave Differential			•	○
Identify Bundle Branch Blocks			•	○
15 \| 18 Lead View Mapping			•	•
Electrical Axis			•	•
R Wave Progression				•
Left Bundle Branch Blocks with ACS				•
Atypical Findings				•
Acute Non-Ischemic Disease Conditions				•
Special Cases				•
•-included; ○-reviewed

Six Second ECG Intensive

Six Second ECG Mastery

12 Lead ECG & ACS

12 Lead Advanced

Prerequisite

None

Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

Tuition

$275

$675

$275

Completion Card

•

Exam and Certification

•

SkillStat 2U-able

•

Reference materials included

•

Dynamic ECG rhythm interpretation

•

○

Static ECG rhythm interpretation

•

○

Clinical Impact Mapping

•

○

Acute Coronary Syndromes Overview

•

○

Acute Coronary Syndromes In-Depth

•

○

ST Segment & T Wave Differential

•

○

Identify Bundle Branch Blocks

•

○

15 | 18 Lead View Mapping

•

Electrical Axis

•

R Wave Progression

•

Left Bundle Branch Blocks with ACS

•

Atypical Findings

•

Acute Non-Ischemic Disease Conditions

•

Special Cases

•

•-included; ○-reviewed

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ACLS Instructor Course Evaluation Form

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